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CardioVascular and Interventional Radiology

, Volume 28, Issue 3, pp 360–363 | Cite as

Rupture of the Renal Artery After Cutting Balloon Angioplasty in a Young Woman With Fibromuscular Dysplasia

  • Levent Oguzkurt
  • Fahri Tercan
  • Oner Gulcan
  • Riza Turkoz
Case Report

Abstract

A 24-year-old woman with uncontrollable high blood pressure for 3 months had significant stenosis of the left renal artery caused by fibromuscular dysplasia (FMD). The lesion was resistant to percutaneous transluminal angioplasty at 18 atm with a semicompliant balloon. Angioplasy with a 6 × 10 mm cutting balloon (CB) caused rupture of the artery. Low-pressure balloon inflation decreased but did not stop the leak. An attempt to place a stent-graft (Jostent; Jomed, Rangendingen, Germany) failed, and a bare, 6-mm balloon-expandable stent (Express SD; Boston Scientific, MN) was deployed to seal the leak, which had decreased considerably after long-duration balloon inflation. The bleeding continued, and the patient underwent emergent surgical revascularization of the renal artery with successful placement of a 6-mm polytetrafluoroethylene bypass graft. CBs should be used very carefully in the treatment of renal artery stenosis, particularly in patients with FMD.

Keywords

Cutting balloon Fibromuscular dysplasia Renal artery Rupture 

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Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Levent Oguzkurt
    • 1
  • Fahri Tercan
    • 1
  • Oner Gulcan
    • 2
  • Riza Turkoz
    • 2
  1. 1.Department of Radiology, Adana Teaching and Medical Research CentreBaskent UniversityYuregirTurkey
  2. 2.Department of Thoracic and Cardiovascular Surgery, Adana Teaching and Medical Research CentreBaskent UniversityYuregirTurkey

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